Absent Menstruation (No Menstruation).



  Absent Menstruation or Amenorrhea is the absence of menstrual bleeding. It happens when a girl hasn't had her first Menstrual period by age 16. It also occurs when a woman fails to menstruate for 3 to 6 months.
Amenorrhea can happen for many reasons. The most common cause is pregnancy. However , Amenorrhea may also be caused by various lifestyle factors,including body weight and exercise levels.

 In some cases, hormonal imbalance or problems with the reproductive organs might be the cause
There are two types of Amenorrhea. They are primary and secondary.
(A)Primary amonerrhea is when a teenage girl has reached or passed the age of 16 and still hasn't had her first period.most girls begin menstruating between ages 9 and 18 but 12 is the average age.

(B)Secondary amenorrhea is when a woman has stopped menstruating for at least three months.This is the more common form of amenorrhea.It is different from primary Amenorrhea,It usually occurs if you haven't had your first menstural period by age 16.
A variety of factors can contribute to this condition, including;birth control use,certain medications that can treat cancer,psychosis or schizophrenia, hormone shots,medical conditions such as hypothyroidism,being overweight or underweight.
  Secondary Amenorrhea usually isn't harmful to your health.It can be treated effectively in most cases. But to avoid complications you must address the underlying conditions that cause amenorrhea.


What Are The Causes of Absent Amenorrhea.
Primary and Secondary Amenorrhea can occur for numerous reasons.some causes are natural,while others are medical conditions that need to be treated.

✓Natural causes most likely to cause amenorrhea include pregnancy, breastfeeding and menopause.

✓Hormonal Imbalances may cause amenorrhea.They are triggered by tumors on the pituitary gland or an overactive thyroid gland.low estrogen levels and high testosterone levels can also cause them.
Hormonal birth control can also contribute to secondary amenorrhea.Depo-provera,a hormonal birth control shot and hormonal birth control pills,may cause you to miss Menstrual periods.certain medical treatments and medications,such as chemotherapy and antipsychotic drugs,can also trigger amenorrhea.

✓Lifestyle Factors;body weight can affect menstruation.women who are overweight or who have less than 15 percent body fat may stop getting Menstrual periods.This is especially true for athletes who train extensively or excessively.

✓Emotional Stress is another possible cause of secondary amenorrhea.your body may respond to extreme stress by disrupting your normal menstural cycle.your menstrual periods will most likely resume once you work through your tension and anxiety.

✓Genetic Disorders or Chromosomal Disorders, such as Turner syndrome and Sawyer syndrome,can sometimes cause late menstruation.

✓Medications can cause amenorrhea in the some women.

✓Antipschotics and Antidepressants are often involved.

✓Chemotherapy drugs and Medications that treat high blood pressure can cause problems with menstruation as well.

✓Suddenly stopping birth control pills may lead to several months of absent periods before the cycle returns to normal.

✓Physical defects such as structural problems in the female reproductive organs might be responsible for absent or delayed menstruation.

✓These Issues can result from birth defects,tumors,or infections that occurred in the womb or shortly after birth.

✓In rare cases,missed periods could be a symptom of Asherman's syndrome. This occurs due to scarring in the uterus surgery,which can prevent menstruation.

 If you haven't started experiencing any sign of puberty by age 16 or older or seeing your period by at least age 16,you should seek medical attention.menstruating women who have missed three or more periods in a row should also seek medical attention.
In most cases,both primary and secondary amenorrhea can be treated effectively.
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